| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.04 | $3.04 | $3.04 | |
Cigna
| Professional | $6.75 | $6.89 | $8.44 | |
Medica
| Facility | $3.04 | $8.33 | $36.32 | |
Medica
| Professional | $16.00 | $25.60 | $33.60 | |
Midlands
| Professional | $19.21 | $19.21 | $19.21 | |
United
| Professional | $16.72 | $28.56 | $33.60 | |
Wellmark
| Professional | $10.00 | $10.00 | $10.00 |